“Loop electrosurgical excision procedure” erken doğum riskini artırır mı?

Year 2019, Volume: 11 Issue: 2, 34 - 38, 29.08.2019

Onur Günaldı , Deniz Kanber Acar Alev Günaldı

Abstract

ÖZET

Loop Electrosurgical Excision Procedure(LEEP)
uygulamasının üreme çağındaki kadınlarda erken
doğum riskini artırıp artırmadığını araştırmak.

LEEP sonrası doğum yapan 51 kadın çalışma grubuna,
geçirilmiş servikal cerrahi öyküsü olmayan ve kliniğimizde
doğum yapan 60 kadın ise kontrol grubuna alındı.
111 kadının doğumdaki gebelik haftaları üç grupta
toplandı; preterm (doğumdaki gebelik haftası 37 hafta
altı), term (doğumdaki gebelik haftası 37 ile 42 hafta
arası) ve post term (doğumdaki gebelik haftası 42 hafta
ve üstü). Çalışma grubu ile kontrol grubu doğumdaki
ortalama gebelik haftaları ve erken doğum oranları
açısından karşılaştırıldı.

Çalışma ve kontrol grubundaki kadınların doğumdaki
gebelik haftaları 35 hafta 2 gün ile 42 hafta 4 gün
arasında değişmekle birlikte ortalaması 39.03 ±
1.39’dur. Çalışma ve kontrol grubunun doğumdaki
ortalama gebelik haftası sırasıyla; 38.97 ± 1.38 ve
39.08 ± 1.42’dir(p=0,684). Çalışma grubundaki
olguların % 7.8’inde, kontrol grubundakilerin ise %
6.7’sinde preterm doğum gerçekleşmiştir(p=0,969).
Hem doğumdaki ortalama gebelik haftaları hemde
preterm doğum oranları açısından gruplar arasında
anlamlı bir istatistiksel farklılık yoktur(p>0,05).

LEEP uygulamasının, doğumdaki ortalama gebelik
haftasını etkilemediği ve erken doğum riskini artırmadığı
sonucuna varılmıştır.

SUMMARY

To investigate whether Loop Electrosurgical Excision
Procedure(LEEP) application increases the risk of premature
birth in women of reproductive age.

51 women who gave birth after LEEP were taken to study
group and 60 women who had no history of previous
cervical surgery and gave birth in our clinic were included in
the control group. The gestational age of 111 women were
gathered in three groups; preterm (gestational age at birth
less than 37 weeks), term (gestational age at birth between
37-42 weeks) and post term (gestational age at birth 42
weeks and above). The study group and the control group
were compared in terms of medial gestational age at birth
and premature birth delivery rates.

The medial gestational age of the women in the study and
control groups ranged from 35 weeks and 2 days to 42 weeks
and 4 days and the average is 39.03 ± 1.39. The medial
gestational age at birth of the study and control group is as
follows; 38.97± 1.38 and 39.08 ± 1.42(p=0,684). Preterm
birth was observed in 7.8% of the cases in the study group
and 6.7% in the control group(p=0,969). No significant
statistical difference is observed between the groups in terms
of both the medial gestational age and the preterm birth
rates(p>0,05).

It was concluded that the LEEP application does not affect
the medial gestational age and does not increase the risk of
premature birth. 

Keywords

LEEP, loop elektrocerrahi eksizyon prosedürü

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